Provider Demographics
NPI:1962715110
Name:MEHRINFAR, MAJID (DDS)
Entity type:Individual
Prefix:
First Name:MAJID
Middle Name:
Last Name:MEHRINFAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 W HICKORY PARK CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2619
Mailing Address - Country:US
Mailing Address - Phone:832-279-5445
Mailing Address - Fax:713-706-3370
Practice Address - Street 1:2909 HILLCROFT ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5847
Practice Address - Country:US
Practice Address - Phone:713-706-3368
Practice Address - Fax:703-706-3370
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX120900902Medicaid